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Home My WebLink AboutBuilding Permit #024 - 105 BEVERLY STREET 7/20/2006 TOWN OF NORTH ANDOVER NORT14 APPLICATION FOR PLAN EXAMINATION oEtt�•° •1tio s • �. o Permit ti0: 4Date Received .�.. ,. Date Issued: ' 2-a t ��is C SE�� IMPORTANT: Applicant must complete all items on this page LOCATION G� 13 ' Print PROPERTY OWNER f � Print MAP NO.: 7 PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF INIPROVEIVIENT PROPOSED USE Residential Non- Residential New Building One family - Addition = Two or more family - Industrial Alteration No. of units: j� Repair, replacemer t Assessory Bldg - Commercial Demolition 00-( Movine(relocation) Other Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED 0 a t 5ACl1 C) -ACI L Int >seJd LL- ('i eJ rk Identification Please Type o Print Clea ly) OWNER: Name: Lt ta- LU ..t La.. Phone: 97f 8 1-9L3L Address: / a CONTRACTOR Name: 1A is 5� � Tee� Phone Address: Ir" � Fay S� �� r'hC' of g':5-2 Supervisor's Construction License: D 9'059"1 Exp. Date: 2l�70 7 i iun-ic Improi ument License: 1465x/ Exp. Date: ARCI IITECT. ENGINEER Name: Phone: `Adress: R.:g. No. FEESCHEDULE:BGLDLVG PERMIT.•510.00 PER 51200.00 OF THE TOTAL ESTIMATED COST BASED OA ,5125.00 PER S.F. Total Project Cost :S 1,006 ,co x12.00--FEE:S Check No.: � � � Receipt No.: Location/05, �.=�✓ No. Date -7 NORTIy TOWN OF NORTH ANDOVER O?O°,t`•O I•,hOw � 9 Certificate of Occupancy $ ;�s',•°•E<�' Building/Frame Permit Fee $ � +c Nus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r Check # J t ' t' ! -**'Building Ins�r TYPE OF SEWERAGE DISPOSAL _ Tanning Massaae,Body Art Swimming Pools Public Sewer _ Food Packaging Sales Well Tobacco Sales_ — – Permanent Dumpster on Site _ Private(septic tank,etc. _ Electric Meter location to project :MOTE: Persons contracting with unregistered contractors do not have access to the guurunty• till Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived Certified Plot Plan L Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ (] h Water Shed Special Permit ❑ Site Plan Special Permit !J Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH CONINIENTS e Zoning Board ot'Appeals: variance. Petition No: /on inu Decision:receipt submitted vcs i'lanning Board Decision: lonuments Conservation Decision: Comments �\,atcr& Sewer connection,Signature& Date Driveway Permit Temp Dumpster on site yes_no)( Fire Department signature,date_ m�J rs to �-i �,i 4-- ------ Building Setback (ft.) o Front Yard Side Yard Rear Yard PrOERequired Proxided -Required Provides Re aired Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and M r;1—(For department LISO 1 7�:v C.77 17 I-C 1. I)ITAR_FIIIILN I P",I J Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work i Addition Or Decks ❑ Building Permit Application • Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) a Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract j Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of,Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPE("ffU;V.\t.SEA%H'b:a DI{P.\R'I'\IIi.V'Gf3PI OR\1115 ,tAORTii Town of gAndover No. 1VL co" o dover, Mass., 0 L A COCHICHEWICK Of?ATED S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......&UeAk...........61eec..................................................... Foundation has permission to erect.......a........................... buildings on ...........16-r........... Rough 06 ST Chimney shall in everyttpecti-coonform to thats...o..f..t4lhle�a.l.p.-p.-ii-cation on 1 to be occupied as.4;1)............... �&....... provided that the person accepting this...P' I iAn Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough 94001 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ARTS. Rough Service SPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. t i p � �%a5'i' 4 x• Up t kd y � 1 a �pp r ( NEI, '§� e k4 "1 3t s Mrm G•.J c-kvuO vr - .7r rm 01 rmu"— I ISI'IVGL a mo 4CJr 360 iO4f IV J1J f0G,-iuoo f0 r• vi 1 C11 ►��! j Fill �'� � '1t�," +Y�;;i.. • : ,. .., „„ ,;,a, ISSUE DATE i�i; +�'�°u'�!';a�Fd � '':,;d 1'�: ;; ',,; ',, r,:n ,:.•, 04114106 TNI$CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DAVID W.L'HUSSIER INS AGCY COMPANIES AFFORDING COVERAGE 63 CHELMSFORD ST LOMPA Y TRAVELERS PROPERTY CASUALTY CO OF CHELMSFORD,MA 01$24 rTEX AMERICA CUMVA Y Tf {y.TTBR INSURED CO3,IPANY C ST JEAN MICHAEL DBA MICHAEL ST JEAN LOTTER REMODELING 15 GRAFTON ST COLEE TBA Y D LOWELL,MA 01852 CORIPANY Fv LUTEA THIS IS'fO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAYS BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE P041CY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPr'cT TO WHICH 7''•11S CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIBS DESCRIBED ILEREI•N IS SUBIfiCT TO ALL THF:TERMS,EXCLUSIONS AND CONDITIONS OF SUCH 10"ES.LIMITS SHOWN MAY HAVE BFEN REDUCED BY PAID CLAIMS CO TYPE Of INSURANCE POLICY NUMBER POLICY POLICY LIMITS LTR EFFECTiVEDATI3 EXPIRATION DATE MM/DD/YY M lAA/YY' GENERAL LIABILITY OENBRALAOOREGATIIS COMMERCIA(.ONNBRAL LIABILITY PRDDVCTS-COMPrOP AGOG S RSONAL @ ADY,INAMY y Ct,A1MS MADE OCCUk. OWNOWS&CONTRACTOR'$PROT., EACN OCCURRENCE $ FIRE DAMAGE(My Ono Piro) $ "�� MED.BXPENSb(A16y 0RG Pmas $ AUTOMOBILE LIABILITY COMBINEFT960LE LIMIT $ ANY AU70 ALLOWNEDAUTOS BODILYINIURY $ (Per pown) SCIIEDULED ALTOS BODILY INJURY S HIRED AUTOS (Pa A=iftU', NON-OWNED AUTOS OARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIA6113TY L'MBRZUA FORM EACH DCCURRPNCE $ OTHER THAN UMBRELLAPOkM AOORBGATB $ STATVrORY LIMITS A WORKER'S COMPENSATION 7PJUB 61453750 04/30/06 06/301D7 EACH ACCIDENT 310D 000 AND DIS6A53'Pou MIT 5300,000 EMPI,OVFAIS LIABILITY DUM&EAC.11 EMPLOYEE 3100000 OTHER DESCRIPTION OF OrOATIONSILOCA71ONSNENICLE6JSPRCTAL ITEMS THLS REPLACES ANY PRIOR CCkYCP,CATE I T Y(RICATE ITOLDERAFFISCTIAIG WO SCO P '(11'RRACE ,UrkR7",FlCAT&R0LDI&R r, r t3 Ir', 7 7v'' i;;a,t TOWN OFTYNGSBORO SHOULD ANY OF'jHlg ABOVE DESCRMrDPOLIC1It KCANCELLED BEtORETn EXPIRATION DATV TH010F.TFT ISSUING COMPANY WILL ENDEAVOR TO MAIL/0 BUILDING DEPT DAYS wRmzN NOTICE TO TNECERTJPICATE HOLDER NAMED TO TNM LEFT, ZS BRYANTS LANE BUT FAILURI6 TO MAIL SUCH NOTICE 5HAl.L IMPOSE NO OBLIGATION OR LtAYILITY OF ANY MD UPON TN P.COMPANY,ITS AGENTS OR REPRESENTATIVES TYNGSBORO,MA 01879 o JAPJJtEiJM7I'n17v6 .ACCOI�)D;2x3" !�6�' ";;:"",I'Wt; ,i.,a„„,„,1,,,,.- ,�, "�jA'CU, l�•b�k''FIa�TF,`t99U�'; * TOTAL PAGE.Oi ** &MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING ►". (Print or Type) fil NORTH ANDOVER, , Mass. Date �f ...10 9`✓ BuAding PermK * Location -� ✓� �'�� 7` Owner's .Cu-TS,4�lt�L f�C � Name New ❑ Renovation ❑ Replacement 14 Plans Submitted: Yes❑ No.❑ FIXTURE$ • w z W < « r J w $- u s M O s o Is ° ° -+ w M < to w F o s • < M 16st s S K �►-� rr < M I O t~- v y a z M IL W �W < < z < O < 04 < at it 41o s 1- S ,s 1 • rs o o S s �. tr is v a • < tt s • o a U frt—•a flI T. tAeftlf+Is<HT 16TFLOOR JIND FLOOR IIAD FLOOR 4TH FLOOR ITH FLOOR ITH FLOOR. ITH FLOOR •THFLOOR — Check one: Certificate Installing Company Name Address o2� C�Brf�im �2C,c,� (3 Partnership ❑Firm/Co. Business Telephone 6da Name of licensed Plumber INSURANCE COVERAGE: ec e 1 have a current liability Insurance policy or Ks substantial equWenL Yes o� No ❑ 11 you have checked y", please Indicate the type coverage by checking the appropriate box A liability Insurance policy Other type of Wemntty ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the Ilcenses does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature o er a Owner s enl I hereby certify that alt of the details and Informatlon I have submthed be entered)in above appkatlon are true and accurate to the best of my knowledge and that as plumbing wak and Installations performed under the perms!Issued for this application will be In compliance with aA pertinent provlsons of the Massachusetts State Plumbing Code and Chapter 142 of the Gerwegal lams. By TNN NgrOd• � License Number fatylTown Type of Plumbing Ucanse: Master ❑ APPfXMD(OFFICE USE ONLY Journeyman •®' Date. ./�.-.r� : 11 i TC 2676 ' NORTh TOWN OF NORTH ANDOVER o F PERMIT FOR PLUMBING ;,SSACHU�� d This certifies that . . {�� .�l�G ��,�. 1. . . . . . . has permission to perform plumbing in the buildings of .7/ . . . . . . . . . . . .. North Andover, Mass. Fee. 2 Sr.Lic. No./ . PLUMBING INSPECTOR 11/031'10:08 25.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File use Cf amm umalih of 90aarhu5tttPtltftnk s Office Use°n" 8[parnnrtn of 1u61i[ gafriq Occupetxy A AN owd�S� r BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00 Pam WOO APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be Penlormed In accordance with the Massachusetts Electrical Code, 527 R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date ' - �91 — Z040— Q* or Town ofNORTH ANDOVER To the Inspector of Wiree: The udersigned applies for a permit to pert rm the electrical work described below. Location (Street & Number) /o S^ t Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No /� (Check Appropriate Box) Purpose of Building l'� -�!-y-wz.�-� Utility Authorization No. Existing Service Amps _1 Voits Overhead Undgrnd C1 No. of Meters _,_,�, •' New Service Amps _J Volts Overnead _ C Una rno I—. 9 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical 'NorK No. of LignnINo. ct ot =S No. of Transformers Total KVA No. of Lighting Fixturesi Swimming P_o, .tocve.— ,n. r. grra _ grno _ I Generators KVA No. of Receotacte Outlets / I No. of Oil aurners I No. of Emergency Lignung Battery units No. of Swacn Ousels I No. of Gas =arrers FIRE ALARMS No. of Zonas No. of Ranges I No. ct Air Czr..c. 'O1di No. of 0olection and chs Initiating 0*vfc*s No. of Oisoossis I No.ol Heat 'o:at -oiai Purr=s "ons ;w No. of Sounding Oevtcss No. of Sed Contained No. of Oianwasners SoacerArea Heauro K`J OetectioruSoundfng Devices No. of Ory*rs I Heating Cev ces KW L-ocai — Municibu ^OtMr Connection No. of - Nu it Low Voltage No. of Water Heaters KW I Signs ?a las:s Wiring No. Hydro Massage Tubs I No. of Motcrs -alai HP OTHER: INSURANCE COVERAGE. Pursuant :o the reouirements --t ;enerai Laws 1 have a current Liability Insurance Policy rncivaing Ccmc etec Ccerauons Coverage or its substantial eauival*nt. YES = NO. = 1 have submitted valid proof of same to the Onics. YES = v0 = If you nave cnecxed YES. pfoase indicate Um type of cov ago ay checking the aciproortate box. INSURANCE ,'F 8ON0 = OTHER = (Please Scec.`O Estimated Value of E!ectncat work s 3 D D (umn,awn octal Wont to Start ^ Insoec:ton Date :+acnes:ec. Rougn -yl�- Frtal Signed under m nalties of ertury. r FIRM NAME UC. No. License* _S gra: re Address C/f�'c-� f'lJ J(�� If 9ua. 'el. No. All. Tel. 'Io. t NER'S INSURANCE WAIVER: I am aware tnat Ine i_:censee ^_des not nave the insurance coverage or its substantial equivalent u r*. Quoted by Massacnusatts General Lawa. and that my signature on 7nis =ermlt aopiwauon waives this r*Qutrem*nt. ownW Agent f. (Please cnecx oner iteonone No. PERMIT FEE S . ._ (S•grtstwe of Owns or Agent( aNfl/ N- ° c} L L Date ............................ NORTh °�t"'° '•�"� TOWN OF NORTH ANDOVER Oc A PERMIT FOR WIRING ,SSACMUS� This certifies that ...... ........ -: ...t:......`............................ has permission to perform ...::r.. --.. wiring in the building of..�- ... . ........-.................................................... at......:L/:3 .....:�.....�..� �.'�./�°/j...... ti................. .North Andover,Mass's .............. Lic.No:.......... ............................................................. ELECTRmcALINSPECTOR N O WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Date. . . .... ... . ........ e MpRTM TOWN OF NORTH ANDOVER 3r p PERMIT FOR GAS INSTALLATION m 1- 9 3 • SSACHUSEt This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . .`.!. . . . . . . . . . v has permission for gas installation . . . . . . . . . . . in the buildings of . 4 - : �.- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . .: . 7 ^.,North Andover, Mass. Fee.f'.. . . . . Lic. No.. . . . ': . . . . . . . . . . . GAS INSPECT' WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) iJ O A J�JW JQ,,i(— , Mass. Date I YLL�Uermit # Building Location ST Owner's Name AlP- L , Lee e-- I)O N C` �—t� LAA Type of Occupankiwi cy New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No p N N ¢ Y W N Cl N U z df ¢ ¢ M ¢ 0 _ ¢ W ¢ O 0 F- W ~ = d z c < z o Uri < m m F- y O - d F- ¢ W < �, W W < N t7 = Z O W W Z W ¢r dr J < _ ¢ ¢ O ¢ W W W = H ¢ �, N m z 0 Z W O #AA = z < W < ¢ — J 0 C > G d H O SUB—BSMT. BASEMENT !ST FLOOR M 2ND FLOOR I 3RD FLOOR _ 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name �Ae"A g T A . :x-lm MA T V- X20 Check one: Certificate Address �ry �- ( 13 Corporation �1 t 7 N %E n) Al rl U l k q� ❑ Partnership Business Telephone /a 92 —9 q-7 1 2--'Arm/Co. Name of Licensed Plumber or Gas Fitter "t' o(A E P T A 5 A M M 0 7A INSURANCE COVERAGE: 1 have a curre�nt jability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 62' No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box A liability insurance policy ' Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner❑ Agent ❑ I hereby certify that all of the details and information I have submitted for entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the pe i ed for this application be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ne laws. T of License: Title Plumber n ure o u -. or titer pfifter er License Number 9J31') �yRown l Journeyman t '/ BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES i PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING I NAME t TYPE OF BUILDING LOCATION OF BUILDING i PLUMBER OR GASFITTER LIG NO. I PERMIT GRANTED DATE 19 OAS INSPECTOR Locatiun No. + r Date "oRTM TOWN OF NORTH ANDOVER 3y'Ci t?. e � ,.ti00 A Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ ss�CH r Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector �p719fi 13:28 25.04 PAID Div. Public Works PER341T NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. tip' PAGE 1 Ms►P +40.1h LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK :PAGE ZONE SUB DIV. LOT NO. �- OCATION ieavQlrllj a 0 PURPOSE OF i4liiMN6 L, NER'S NAME L,, a I{`�` �� NO. OF STORIES SIZE LWRER'S ADDRESS /Q S h�p�P / r/ BASEMENT OR SLAB - ARCHITECT'S NAME l SIZE OF FLOOR TIMBERS IST 2ND 3RD �4TILDER'S NAME � IGn _ 1 j1 Pr ll7Ar�'i SPAN -- DISTANCE TO NEAREST BUILDING /✓ t/ DIMENSIONS OF SILLS DISTANCE FROM STREET .Sarnr 45 �xI S-�I a1Q Str7/G�l/i!'f_ POSTS DISTANCE FROM LOT LINES - SIDES J REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY .✓IS BUILDING ALTERATION ' IS BUILDING ON SOLID OR FILLED LAND / WILL BUILDING CONFORM TO RE IREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER / BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES ST. BLDG. COST 3 i PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PA6F 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY 'ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS ,✓PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED L BUILDING INSPECTOR SIGNA URE OF OWNER OR AUTHORIZED AGENT Q FEE OWNER TEL.# PERMIT GRANTED CONTR.TEL./t 19 CONTR.LIC.# H.I.C.# BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE E 1 2 13 CONCRETE BUK. PINE ` BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M'T' AREA _ V, 1/1 14 FIN. ATTIC AREA _ N_O B M FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDV''D _ ASBESTOS SIDING E0_M CN _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRI N MASON Y ATTIC STRS. 6 FLOOR I_ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. )2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE L FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd I ELECTRIC 1st 13rd NO HEATING 0�� Pk • ovm Of O No. +9 Ci y ` o dover, Mass., LA E' �. COCHiCHEWICK "�,pS�RATED P"? 1 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT .....................................4.�... ..4..............Lwz ..............................................I...................... Foundation has permission to erect........��. y� ......... ��n ....../.4�.� ps y / . ....��...�..�r..`."'"!�.....w .[...,................. Rough t0178 OCCU ied as .....................................2 if�-l..f'--..............Paz, ................................................................. Chimney hprovided that the person accepting this permit shall in every respect,conform to the terms of the application on file in is office, and to he provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final • PERMIT EXPIRES IN 6 MONTHS _— ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS Rough .... ... ................................ Service LD G INSPECTOR r Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises --- Do Not Remove Rough P Y P Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. i a a SZv►�w Z�I1Ti� ��'►.)v►a�„{ u,NN qILIPl ti j. PI-1p elet. ,hs) even i u gwe { 1dX� i FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: t \��c'�� OC W Phone LOCATION: Assessor's Map Number 9 Parcel Subdivision Lot(s) 50 Street '7�io u�ruF�e ST, SoiTc 24 St. Number ************************Official Use Only************************ RECOMMEENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department P QJ,C' e S 0/1 Si-,7 f2e✓`°u Received by Building Inspector Date , Location ��'.� �- -'..�.-`J`-''�.'" �•�`�`. Lf '• v No. �n V Date A H HORT11 TOWN OF NORTH ANDOVER 3OL S I } n Certificate of Occupancy $ _ t ; Building/Frame Permit Fee $ Irs CHUMusE Foundation Permit Fee $ � Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ �r TOTAL Building Inspe4torV y ti Div. Public Works Pmmrt qNO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE I �iNAP hJO.' LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE - ✓ZONE r I SUB DIV. LOT NO. �I I ,LOCATION ^ ( /� PURPOSE OF BUILDING �9 ."P-WNER'S NAME _ .�1�t/ NO. OF STORIES SIZE OWNER'S ADDRESS ,4 3aG�'- BASEMENT OR SLAB _ /\RCHITECT'S NAME 2J / ,SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME �,�-"'7 1-� l SPAN -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES - SIDES REAR "' "" GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION � LAND COST SEE BOTH SIDES EST. BLDG. COST !/ .� � PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COB PER SQ. FT. T i PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS /PLANMUST BE FILED AND APPROVED BY BUILDING1.,'.SPECTOR FILED ✓ / NU ILDI NO INSPECTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E � ' OWNER TEL.# PERMIT GRANTED // Q CONTR.TEL.k CONTR.LIC.k H.I.C.# a OR , Townof o i�_ _ ; - _ m No. /d * - _ s .. dover, Mass., /� 19,90 LAKE A �-COCM ICMEWICK LY�• �G BOARD OF HEALTH PERMIT . T Food/Kitchen Septic System Z—a........... BUILDING INSPECTOR THIS CERTIFIES THAT..................................... _ Found ation has permission to buildings on ... ........ .`................ Rough to be occupied as.............................. li' ?!!!.....+,�rsM!R'��a? ............................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRU STARTS Rough ................... .................................... .. .................................... Service . .. .. ........ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 'TMASyAp�nuZ)tt ja uwlt-uNM AwhLICAIIOWFOR PE MtT T0-D0` LUNEBlh (Type or Print • ,•,;i:.,, f NORTH ANDOVER ;;:•.. • ,Mass. ;:�r4; �. • ..Oats:'.../ Building Location / 0 &V CK-Ley J' i Penait act / T. A)0 . h-N 0 aV-?� 41d'C9 Owners Name L'i V New Renovation Replacement [7�Plans Submitted II F TU F • 2 X < r N Ql art O Z w a. ?• V < ti zax X J q W l+7 W = Q i•' V W W X < 116 a Z a Q o7 W >~ < (-• ul Z aC a a < .. � Q � a: Wo 3 oc < �, ¢ < W .- O < q = C a W, �. Mr W W ~ ~• W O c .I ar f. < 34 k •► t• V > r O X 4 tri 1— O x Z < W IL >< W • < ►- < < x N to :<,< < o < O < ¢ d < c 3 aL .� to to o a .+ Z ►- to a o < Ac q q ` SUB—►BSMT. BASEMENT 1ST FLOOR / 2ND FLOOR 2110 FLOOR 4TH FLOOR 6TH FLOOR 6TH FLOOR T. 7TH FLOOR lit A 8TH FLOOR I (Print or Type) Check one: Certificat installing Company Name 0 ,�q _ L?lezjvl A44L.,j Corp, „ Address ZfLIU W1& ✓Lv/�b "�'� Partner.— Business Telephone ,sem(- Gf-7111r Name of Licensed Plumber: a)1-0)v /3L Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity E] Bond ❑ Insurance Waiver: I, the undersigned, have been made aware- that the licensee of this application does not have any one of the above three insurInce coverages. • Signature of ownerlagent of property Owner Agene,. i I1 hembp cetlifr that all of Ute details and infotnuUon I have submit Icd(at cntncd)in atone appli align ire lout aNspyak to Inns bat of w ...• MawkAge cad that all plumbing walk and installalinns loco lot mcd under 1•ctuut Issued for this application will be Je 6@W44U"wWt aq ppm fj VIAGM of lbs M&U"Auselta State Plumbiag Code and amplcl 141 of lite Ccnetal Laws, ' �w Title . Signature of -Licensed Plumber I City/Toon: Type of Plumbing License A 000f)VFrn 7OFFICF USE ONLY) License Number ❑ Mastero- urneya Date,./ 359/ NOR7N ?�.<��°„•:;�oo� TOWN OF NORTH ANDOVER o PERMIT FOR PLUMBING ,SS.tCMUSE� 3 This certifies that. . ' has permission to perfor . . . . . . . . . . . . . . . . . . plumbing in the buildings o at.� �. . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee . .Lic. No Z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ��-�/t PLUMBING INSPECTOR Jx 01/26/98 10:51 50.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer J MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIN( t (Print or Type) _ NORTH ANDOVER _ Mass. Datea 9S � . kuilding Location O vGi2 L J Permit Owners Name //,./.d 41-4 „ce New ;-1 Renovation Replacement 10 Plans Submitted f FIXTURES oz 0 ' cc C -1 m au v of �' z as d Kl 0 F'` W 1tt O 4 W !- cc w d t• in y 4 az W z v "` x 07 .t Q o e W w W ars „t a x W W a a to W I' x O tz r z W us o > W r 0 .t t-- to z d W 0101 0! O z W 0 N S m > us Q x o o z u, x a c� ` v = y a no. F– o SUR-8SNIT. BASEMENT I ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTK FLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name Corp. Address o2 F Cp77Ti.e",' Partner. :55z-e"' /C/d, �J'a7 9� Firm/Co. Business Telephone: 6"4- Name of Licensed Plumber or Gas Fitter `�?!��-wy6 � i✓�✓G`� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity 0 Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that al! plumbing work and installations performed ander'Ptrmit issued for this application will-be in eompilance with an paQnent Provisions of the Massachuscus State Cas Code and Chapter 14:of the Gencral Lancs. — TYPE LICENSE: By Plumber Title Gas€itter ignature of Licensed City/Town: Master Plumber or Gasfitter Journeyman APPROVED (OFFICE USE ONLY) —License Number I Date... ../� - 4967 32Oy N0 oT eL TOWN OF NORTH ANDOVER } I o p PERMIT FOR GAS INSTALLATION 'fs,9sS^C MUSEt O E C This certifies that . . . / 4 has permission for gas inst,11lation in the buildings of -r . . . . . . . . . . . . . . . . . . o i0S { at l-- ;'W.j , North Andover, Mass? I Fee. lJ��.�-1✓ic No. . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR I WHITE:AppC��,t 'e ANA Building Dept. PINK:Treasurer GOLD: File